ANGELA T VANDUSEN
NPI 1790653418
Nurse Practitioner - Pediatrics in Daytona Beach, FL

Q: What is Angela Vandusen's NPI number?

The NPI number for Angela Vandusen is 1790653418. It was assigned to this individual provider in the NPPES registry on October 24, 2025.

Q: What is Angela Vandusen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Angela Vandusen was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 24, 2025PECOS Enrolled

303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114(386) 425-5000 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Angela T Vandusen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA T VANDUSEN (NPI 1790653418) is an individual pediatrics provider in Daytona Beach, Florida, licensed in Florida (11042915) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790653418

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameANGELA T VANDUSEN

Location Address303 N CLYDE MORRIS BLVDDaytona Beach, FL 32114-2709

Mailing Address303 N Clyde Morris BlvdDaytona Beach, FL 32114-2709 · (386) 425-5000

Phone(386) 425-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 24, 2025

NPPES CertifiedOctober 24, 2025

✔ NPI 1790653418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in FL · 11042915

303 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela T Vandusen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446745749

PECOS Enrollment IDI20251224000533

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELICA DIEZ

Physician Assistant

303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114

Volusia County (386) 425-4000

SAVANNA HANH DUONG PA-C

Physician Assistant

303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114

Volusia County (877) 842-5432

RADIATION ONCOLOGY ASSOCIATES OF CENTRAL FLORIDA,PA

Radiology (Radiation Oncology)

303 N CLYDE MORRIS BLVD, ROC GROUND FLOOR
DAYTONA BEACH, FL 32114

Volusia County (386) 254-4220

DR. RICHARD CARL WEISS MD

Internal Medicine (Hematology & Oncology)

303 N CLYDE MORRIS BLVD, HALIFAX REGIONAL ONCOLOGY CENTER
DAYTONA BEACH, FL 32114

Volusia County (386) 254-4212

ALEXANDRA CROSSMAN MD

Internal Medicine (Infectious Disease)

303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114

Volusia County (386) 589-5741

ARMANDO FERNANDEZ PA

Physician Assistant (Medical)

303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114

Volusia County (386) 254-4000

ALEXANDRA CROSSMAN MD PA

Internal Medicine (Infectious Disease)

303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114

Volusia County (386) 589-5741

NICHOLAS WILLIAM METAKES CRNA

Nurse Anesthetist, Certified Registered

303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114

Volusia County (386) 254-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Vandusen's NPI number?

The NPI number for Angela Vandusen is 1790653418. It was assigned to this individual provider in the NPPES registry on October 24, 2025.

Where is Angela Vandusen located?

Angela Vandusen practices at 303 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 425-5000.

What is Angela Vandusen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Angela Vandusen enrolled in Medicare?

Yes. Angela Vandusen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angela Vandusen was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.